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Assertive community treatment for complex and costly patients
Trygve Dolber1, Patrick Runnels, Peter J Pronovost
1University Hospitals Health System, 10524 Euclid Ave, 13th Floor, Cleveland, OH 44106.
The American Journal of Managed Care
|July 24, 2025
Summary
Assertive community treatment (ACT) effectively serves individuals with schizophrenia and low healthcare engagement. This evidence-based practice is also suitable for medically complex, disengaged patients needing integrated care.
Area of Science:
- Psychiatry
- Healthcare Management
Background:
- Assertive community treatment (ACT) is an evidence-based practice for schizophrenia.
- Low healthcare engagement is a challenge in managing complex patients.
Purpose of the Study:
- To explore the applicability of ACT to disengaged, medically complex patients.
Main Methods:
- Literature review and case study analysis of ACT implementation.
Main Results:
- ACT principles are adaptable to medically complex populations.
- Successful adaptation requires tailored approaches to patient needs.
Conclusions:
- Assertive community treatment (ACT) can be effectively extended to disengaged, medically complex patients.
- This approach may improve healthcare engagement and outcomes for this population.
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